Sleep Patterns and Depression in Mothers and Fathers of Twins

双胞胎母亲和父亲的睡眠模式和抑郁症

基本信息

批准号：
7245990
负责人：
ELIZABETH G DAMATO
金额：
$ 23.18万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-01 至 2010-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7245990
关键词：
Adverse effects Affect Age Area Bed rest Behavior Behavioral Biological Birth Caring Child Child Care Child Rearing Cognitive Counseling Data Data Analyses Data Collection Depression screen Development Disruption Effectiveness Emotional Emotions Employment Epidemiologic Studies Family Fathers Fatigue Feeding Methods Frequencies Future Gold Hospitals Infant Infant Care Intervention Intervention Studies Investigation Left Life Link Longitudinal Studies Maternal Behavior Measures Mental Depression Methods Modeling Mother-Child Relations Mothers Numbers Parenting behavior Parents Pattern Perception Play Population Postpartum Depression Postpartum Period Postpartum Women Premature Infant Prevalence Primary Health Care Provider Recruitment Activity Relative (related person)Reporting Research Research Design Rest Risk Role Sampling Sleep Sleep Deprivation Sleep Disorders Source Standards of Weights and Measures Testing Tetradecanoylphorbol Acetate Time Twin Multiple Birth Visual Analogue Pain Scale Wakefulness Week Wrist actigraphy approach behavior awake base brain electrical activity caregiving diaries experience feeding innovation insight instrument maternal depression parity preference prevent sleep onset social statistics

项目摘要

DESCRIPTION (provided by applicant): Sleep Patterns and Depression in Mothers and Fathers of Twins The demands of early parenthood and their impact on the ability to obtain rest and sleep are exponentially high for parents of twins. Mothers of twins are at particularly high risk for depression, and sleep restriction may play a role in this increased risk. Twin births have continued to rise over the last 25 years, increasing the number of parents at high risk for partial sleep deprivation, also known as sleep restriction. Moreover, over half of twins are born prematurely and thus require more vigilant care. Sleep restriction results in a cascade of negative effects for families of twins. Unrelenting infant care demands of two high-risk infants result in a lack of time for parents' personal needs, including the need for sleep. Free time that a parent may have to rest is obliterated by the need to care for a second infant. For many families, help from relatives is short-lived, and financial constraints preclude the ability to hire someone to provide assistance with child care. Additionally, sleep restriction is linked to depression and fatigue in postpartum women, which affect parents' ability to meet childrearing demands. Maternal depression has adverse effects on the quality of mother-child interactions and is associated with significant long-term negative effects on infants' cognitive and behavioral development. Fathers, as well as mothers, are at high-risk for sleep restriction because fathers often are actively involved in assisting mothers of twins with childrearing demands while also meeting their own employment responsibilities. The aims of this descriptive longitudinal study are to: (1) describe maternal and paternal sleep patterns during the early childrearing period for parents of twins, (2) examine relationships between sleep pattern data and parental depression, perceptions of fatigue, and quality of sleep when the twins are 40 weeks post- menstrual age and at 8 and 12 weeks post-twin discharge, (3) determine the effect of potentially related contextual variables (method of delivery, antepartum bed rest, infant feeding method, consolability of the twins, post-menstrual age, sleeping arrangements, care-giving assistance, parity, and employment) on sleep patterns, and (4) identify strategies parents use to increase their sleep. A sample of 85 mother/father pairs will be recruited from three hospitals. Actigraphy and sleep diaries will be used to measure sleep patterns; standardized instruments will be used to measure depression, fatigue, and quality of sleep. Related contextual variables and strategies parents of twins report as helpful to increase their sleep also will be assessed. Analyses will include descriptive statistics and multivariate mixed model analysis with repeated measures. Results from the proposed study are needed as they will contribute important information to identify mothers and fathers of twins at highest risk for sleep restriction and the possible resulting sequelae of depression and fatigue. Identifying compensatory strategies that parents of twins report as helpful to increase their sleep will provide preliminary information for a future intervention study to evaluate and test an intervention that minimizes sleep restriction to allow for optimal parenting of twins. The high demands of caring for newly born twins, many of who are born prematurely, prevent parents from obtaining adequate amounts of sleep and rest. Inadequate sleep hinders parents' ability to provide optimal care for their high-risk infants. The proposed project will examine relationships between sleep and depression and fatigue in mothers and fathers of twins and identify useful strategies to be tested in a future study to minimize sleep loss and its adverse effects.

描述（由申请人提供）：双胞胎母亲和父亲的睡眠模式和抑郁症对于双胞胎父母来说，早期为人父母的要求及其对获得休息和睡眠的能力的影响呈指数级高。双胞胎的母亲患抑郁症的风险特别高，睡眠限制可能是导致这种风险增加的一个因素。过去 25 年，双胞胎出生率持续上升，导致部分睡眠剥夺（也称为睡眠限制）高风险父母的数量不断增加。此外，超过一半的双胞胎是早产的，因此需要更加警惕的护理。睡眠限制会给双胞胎家庭带来一系列负面影响。两个高危婴儿不断的婴儿护理需求导致父母没有时间满足个人需求，包括睡眠需求。父母可能需要休息的空闲时间因照顾第二个婴儿的需要而被抹去。对于许多家庭来说，亲戚的帮助是短暂的，而且经济拮据又无法雇用某人来提供儿童保育方面的帮助。此外，睡眠限制与产后女性的抑郁和疲劳有关，这会影响父母满足育儿需求的能力。母亲抑郁会对母子互动的质量产生不利影响，并对婴儿的认知和行为发展产生显着的长期负面影响。父亲和母亲一样，面临睡眠限制的高风险，因为父亲经常积极参与帮助双胞胎母亲满足育儿需求，同时还要履行自己的就业责任。这项描述性纵向研究的目的是：(1) 描述双胞胎父母在育儿早期期间母亲和父亲的睡眠模式，(2) 检查睡眠模式数据与父母抑郁、疲劳感知和睡眠质量之间的关系当双胞胎月经后 40 周以及双胞胎出院后 8 周和 12 周时，(3) 确定潜在相关背景变量的影响（分娩方法、产前卧床休息、婴儿喂养方法、 (4) 确定父母用来增加睡眠的策略。将从三家医院招募 85 对母亲/父亲作为样本。体动记录仪和睡眠日记将用于测量睡眠模式；标准化仪器将用于测量抑郁、疲劳和睡眠质量。双胞胎父母报告的有助于增加睡眠的相关背景变量和策略也将被评估。分析将包括描述性统计和具有重复测量的多元混合模型分析。拟议研究的结果是必要的，因为它们将提供重要信息，以确定双胞胎的母亲和父亲最有睡眠限制风险以及可能产生的抑郁和疲劳后遗症。确定双胞胎父母报告有助于增加睡眠的补偿策略将为未来的干预研究提供初步信息，以评估和测试最大限度地减少睡眠限制的干预措施，从而实现对双胞胎的最佳养育。照顾刚出生的双胞胎（其中许多是早产）的高要求使父母无法获得充足的睡眠和休息。睡眠不足会阻碍父母为高危婴儿提供最佳护理的能力。拟议的项目将研究双胞胎母亲和父亲的睡眠与抑郁和疲劳之间的关系，并确定在未来的研究中测试的有用策略，以尽量减少睡眠不足及其不利影响。